Cheung Part 5 Flashcards
what is impingement syndrome
inflammation of subacromial bursa and rotator cuff tendons in middle aged persons
what are the symptoms of impingement syndrome
lateral shoulder pain with overhead activity
what exam results are seen in impingement syndrome
positive hawkins, supraspinatous test
no weakness
what test results are seen in impingement syndrome
X-rays negative
MRI shows inflammation but no tear (partial thickness tear is b/c blood flow reaches eddy- some blood from bone some form muscle)
what is the treatment for impingement syndrome
PT
steroid injection
surgical decompression
what is elbow epicondylitits
degenerative painful condition of the ECRB tendon and/or flexor-pronators
wha are the symptoms of elbow epicondyltitis
35-50 year old with pain on either the medal or lateral epicondyle with activity
what exam results are seen with lateral (tennis) elbow epicondyltits
pain with resisted extension of the wrist with forearm pronated (extensor carpe radialis brevis)
what exam results are seen with medial elbow (golfer) epicondyltitis
pain with resisted flexion of the wrist with forearm pronated (flexor pronators)
what is the treatment for elbow epicondylitis
tennis elbow strap ice larger grips steroid injection surgical debridement
what is a meniscal tear and what are the symptoms
fraying or tear of menisci
locking and catching in the knee
what exam results are seen in a meniscal tear
McMurrays
joint line tenderness
what test results are seen in meniscal tear
Xray negative
MRI shows tear
what treatment is there for a meniscal tear
PT
arthroscopic debridement
what is olecranon bursitis and what may cause it
inflammation of the olecranon bursa
gout
what symptoms are seen in olecranon bursitis
swelling
painful posterior elbow
what exam results are seen in olecranon bursitis
mass over tip of elbow, tender, red, hot
what tests are done for olecranon bursitis
aspiration for crystals and infection
what is the treatment of olecranon bursitis
NSAIDs for acute, ice
surgical removal
patellofemoral pain is what
pain around the patella without signs of arthritis, common in teenage during growth spurt
what are the symptoms of patellofemoral pain
achy pain anterior knee worse after long periods of sitting (theatre sign) and climbing stairs
what exams are done for patellofemoral pain
Q angle (up to 22 in females and 15 in males is acceptable)
patellar apprehension
resisted extension of knee
what is the treatment for patellofemoral pain
PT for quad strength
what is plantar fasciitis
degenerative tear of plantar facia, more common in women and overweight persons with tight gastroc-soleus tendons
what are the symptoms of plantar faciitis and what is seen on physical exam
worse heel pain in AM, insidious onset
tender on medial and lateral calcaneous, tight dorsiflexion
what test results are seen in plantar fasciiitis
X-rays show heel spur (NOT CAUSE OF PAIN) but symptom
what is treatment for plantar fasciitis
NSAIDs, heel cups, stretches of heel cord
injections
surgical release
rotator cuff tear is of what
supraspinatus (most common)., infraspinatus, subscapularis, or teres minor
what are the symptoms of a rotator cuff tear
pain with overhead activity, catching, grating sensation
what exam results are seen in a rotator cuff tear
positive drop arm
hawkins
weak supraspinatous
weak external rotation
what test results are seen in a rotator cuff tear
X-rays show high riding humeral head
MRI shows discontinuity of tendon
what is the treatment for a rotator cuff tear
PT and NSAIDS
repair of tendons (arthroscopically or open)
rupture of the proximal biceps tendon is what
rupture of long head of biceps, with labral injury
what are the symptoms of a rupture of the proximal biceps tendon
sudden pain
buldge in arm
what exam results are seen in a rupture of the proximal biceps tendon
popeye arm
pain with supination
what test results are seen in a rupture of the proximal biceps tendon
Xrays negative
MRI shows tear with hematoma
what is the treatment for a rupture of the proximal biceps tendon
NSAIDs, PT
occasionally will tenodesis
Trochanteric Bursitis is what
inflammation of greater trochanteric bursa from tight IT band
what are the symptoms of trochanteric bursitis
lateral hip pain, unable to lie on side
what are the exam and test results seen in trochanteric bursitis
point tender over posterior GT
Ober’s test
Xrays negative
MRI shows swelling of bursa
what is the treatment for trochanteric bursitis
NSAIDs
PT for stretches and strengthening
